ROOSEVELT UNIVERSITY
FOOTBALL

PERSONAL INFORMATION
FIRST NAME  
LAST NAME  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME PHONE  
CELL PHONE  
EMAIL  
DATE OF BIRTH  
FACEBOOK LINK  
TWITTER LINK  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  

ACADEMIC INFORMATION
HS/JC NAME  

GRADUATION YEAR  
LEVEL  
HS/JC ADDRESS  
 
HS/JC CITY  
HS/JC STATE  
HS/JC ZIP  
HS/JC PHONE  
CLASS RANK  
GRADE POINT AVERAGE  
ACT  
SAT MATH  
SAT CRITICAL READING  
2-PART SAT TOTAL  
INTENDED MAJOR  

ATHLETIC INFORMATION
PREFERRED COLLEGE POSITION  
HEIGHT  
WEIGHT  
40-YARD DASH  
OTHER SPORTS PLAYED  
ATHLETIC HONORS  
ONLINE VIDEO LINK  
PLEASE CERTIFY THAT YOU ARE A HIGH SCHOOL JUNIOR OR SENIOR, OR ARE A CURRENT COLLEGE STUDENT   Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.